New Guest Application *PVP

1
Name* This field is required.
First Name
Last Name
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Email* This field is required.*Please be sure this is an email that you check often, as this will be how I contact you.
example@example.com
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Phone Number* This field is required.Please provide the best number to reach you at.
Please enter a valid phone number.
4
How did you hear about me?* This field is required.If through a referral, please share their name so I can thank them!
5
How many months do you reside in Florida yearly?* This field is required.
I am just visiting
3 months or less
4-8 months
Year round
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In order to serve her guests to the standard they deserve, Nicole can only accomodate those that she will be seeing more than 2 times a year. If you'd like to reach out to her directly with any questions, please email her at: SelphnessHairStudio@gmail.com. Please proceed with the New Guest Questionnarie only if you will be residing in Florida for at least 4 consecutive months or more. Thank you!
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Are you ONLY looking to book a haircut without a color service?* This field is required.Nicole is currently not accepting new, "Haircut Only," appointments. All color appointment include a haircut, but they are not offered as separate services.
YESNO
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At this time, Nicole is not accepting any new, "Haircut Only," appointments.

If you are wanting to book a color service, please continue on with this application.

All color sessions include a haircut.
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My last color application was* This field is required.
In a salon, professionally done.
At home, with store bought/ boxed color.
I haven't colored my hair in 3 years or more.
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My last haircut was* This field is required.
1-2 months ago
3-6 months ago
6-12 months ago
1+ year
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What services do you think you might need? Check all that apply.* This field is required.*Please scroll down for the complete list of service options.
In salon color consultation
Haircut
A major haircut change in length and/or style
Clipper Cut
Root retouch/Gray coverage
All over color (root to ends, single process color)
Partial highlights (front, sides, and top for brightness)
Full highlights (foils throughout your entire head)
Lowlights
Glossing treatment
Uneven color rebalancing
Vivid/Rainbow color
Full Bleach application
Perm
Bridal hair or an Updo styling
Eyebrow shaping
Eyebrow tint
Customized deep conditioning treatment to restore moisture, shine, smoothness and elasticity
Scalp treatment to lift aged cells and impurities while balancing and conditioning the hair and scalp
Product recommendations
Styling Lesson
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Based upon the service(s) you have selected that you think you may need, it appears one or more of those are not something Nicole specializes in or offers. Please select the option that best describes what you are looking for:* This field is required.
The service I selected is exactly what I'm looking for.
I am open to alternative options.
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Please list which selected service, or services, are an absolute must for you: blanks *
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Here's a quick refresher of Nicole's Service Sessions:*This can be found on her website as well, at: www.SelphnessHairStudio.com
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Based upon Nicole's Service Menu, what Service Session do you think you may need?* This field is required.
Selph Renewal ($175+)
Your Signature Selph ($220+)
Redefine Yourselph ($300+)
Selph Shaping ($90)
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What is your availability ?* This field is required.
First available appointment
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
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In the state that you wear your hair most often, (natural, straightened, curly, etc), how long is your hair currently?* This field is required.
Pixie (very short)
Short (above the chin)
Medium (chin to shoulder length)
Long (past shoulders)
Extra long (middle of the back or longer)
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How thick is your hair?* This field is required.
Thin/Light Density
Average/Medium Density
Thick/Heavy Density
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Which of the following best describes the texture/wave pattern of your hair if AIR DRIED naturally?* This field is required.
Mostly straight
Wavy
Curly
Extra Curly (very tight coils)
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I do this 2 or more times a week (check all that apply)* This field is required.
Wash my hair
Blow dry my hair
Use a flat iron
Use a curling iron or wand
Pull my hair up in a ponytail or bun
Use hair treatments
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I am currently experiencing the following challenges (check all that apply)* This field is required.
Breakage
Dryness
Frizz
Dullness
Dandruff
Skin conditions or rashes
Hair thinning
Bald spots
Bumps, scabs, or sores on my scalp
None of the above
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I sometimes have the following styling challenges (check all that apply)* This field is required.
My hair falls flat after styling
My hair is frizzy after blow drying
When I use a flat iron, I often have to go over the same section multiple times
When I curl my hair, the curls don't turn out right and/or last
I can't achieve enough volume or body to my style
My scalp is oily
My ends are dry
I'm not sure if my stying products are the right fit for my hair needs
I have no styling challenges currently
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I currently use the following brand(s) of shampoo and conditioner:* This field is required.No judgement here. This is merely to get an idea of your current hair care regimen.
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I currently use the following styling products:* This field is required.
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What is your NATURAL hair color? If you're mostly gray now, what was your natural color before?* This field is required.
Blonde
Light Brown
Brown
Very Dark Brown or Black
Red
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The last time I colored my hair, I* This field is required.*If the hair currently on your head has undergone ANY chemical services within 1-3 years, (color, highlights, perm, henna, anything) please select. Even if it has faded out.
Colored it all over brown or black
Did a retouch (root area only)
Did a retouch (color at my roots) along with highlights
Highlights only
Went red
Bleach retouch (full blonde root retouch)
Full bleach, roots to ends
Vivid/rainbow color
I haven't colored my hair in 3 years or more
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To the best of your ability, please describe in detail what your last color application entailed: blanks *
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Please upload 2-3 photos of your hair currently, (front, sides, and back). * This field is required.Lighting is crucial! The best light is indirect, natural sunlight, such as facing a window or outdoors in the shade. (No direct sunlight or filters please). Include hair from root to tip.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Upload a photo of your dream hair.* This field is required.While no single photo can capture everything you like, please share any inspiration photos you may have for your ideal end result. I would love to see the color, length, and/or style you're looking to achieve.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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What additional information would you like me to know about your hair history and/or goals?
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CANCELATIONS &/OR RESCHEDULING: Your appointments are very important to me and are held just for you. If circumstances arise that make it necessary for you to adjust or cancel your booked appointment time, I kindly ask that you provide at least a full 24 hours notice. This ensures flexibility in managing my appointments with other guests, and allows for adequate time to fill that space. If proper notice is not given, a fee of 50% of the scheduled service(s) will be applied, with a $30 minimum, and will need to be paid prior to rescheduling.* This field is required.
I accept
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PUNCTUALITY: If you are running 15 minutes late or more your appointment may need to be rescheduled or may require a portion of your service to be forfeited. It is understood that emergency situations can arise and I will try to accommodate you in any way that I can. Circumstances that call for rescheduling will be treated like a last minute cancellation and may be subject to the cancelation fee.* This field is required.
I accept
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CONTACTING ME: All text messages and calls are for appointment day arrivals. To contact me regarding any scheduling requests, appointment changes, or questions, please email me at SelphnessHairStudio@gmail.com. Messages will be replied to within 24 business hours.* This field is required.
I accept
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APPOINTMENT CONFIRMATIONS: You will receive an appointment confirmation 3 days prior to your appointment via email and/or text with instructions to confirm your appointment. Please follow the instructions to do so.*Be advised: these are automated text messages and Selphness Hair Studio does not receive any text messaging.* This field is required.
I accept
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PRICING: All published prices are starting points for services. Prices may vary due to certain factors such as: the hair’s length, density, and condition; the complexity of the service; and the amount of product being used.* This field is required.
I accept
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SERVICE SATISFACTION: I strive to offer my guests the highest level of guest satisfaction. If you are having challenges with your cut or color, please let me know within 4 days of your visit and I will be happy to correct the issue with no additional charge. The revision policy does not include a full change in the original and agreed upon service, and any revision requests made after the 4 day period from the original service date will be subject to my approval. While this is rare, it is important to communicate my policy.* This field is required.
I accept
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FINISHED RESULTS: Because results are most accurately evaluated on hair that has been dried, smoothed, and properly finished, services are only guaranteed when the hair is blown dry in the salon. If you opt to leave the salon without a styling service, you are relinquishing your rights to the revision policy. * This field is required.
I accept
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CHILD CARE: To preserve an environment that promotes relaxation please make arrangements to have children cared for during your service. Children are not permitted in the salon unless they are receiving a service and cannot be left unattended.* This field is required.
I accept
I decline & do not wish to proceed with services
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